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Q� <br /> SIGNED, SEALED AND DATED this day of kk(mil St �lg <br /> Operator UJ <br /> (� (SEAL) <br /> By: <br /> Title: <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF O ) <br /> ) ss.: <br /> COUNTY OFConc ) <br /> The foregoing in ment was ac wledged bFfore.me this LU day of S r Q <br /> by 1 Vl►- aVkv Iof [orvzlb <br /> U Anil . <br /> LYNNAE SHXW-CROFT Notary Public <br /> NOTARY PUBLIC �_ a7_�9 <br /> STATE OF COLOAADO y Commission Expires <br /> NOTARY ID 20074035945 <br /> MY COMMISSION EXPIRES SEPT.27,2019 <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> By. Date Executed: <br /> Division Director <br /> Rev.05/12 <br /> - 13 - <br />